Giant Coronary Artery Aneurysm: A Case Report

Giuseppe N1*, Walter V2, Tommaso L1, Raffaele B1, Dritan H1 and Giuseppe S1,2

1Department of Cardiovascular Surgery, GVM Care & Research, Anthea Hospital, Bari, Italy
2Department of Cardiovascular Surgery, GVM Care & Research, San Carlo di Nancy, Roma, Italy

^*Correspondance to: Giuseppe Nasso 

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Abstract:

Background: Coronary artery aneurysm is a rare clinical finding in patients undergoing coronary angiography. We describe the case of a patient who received a diagnosis of isolated giant right coronary artery aneurysm. Case Report: we present an uncommon case of a 60-year-old man with history of previous cardiac operation for aortic aneurysm, with referred persistent asthenia, decreased exercise tolerance and lower extremity edema. The echocardiography showed moderate tricuspid regurgitation and a not well-defined mass exerting initial compression on the right sections of the heart. Computed tomography confirmed the finding of a contrasted mass, initially referred to a proximal aortic pseudoaneurysm. The coronary angiography made clear instead the presence of a giant right coronary aneurysm with maximum diameter of 6 cm, confirmed also with the support of cardiac magnetic resonance. The patient underwent cardiac operation with surgical exclusion of the aneurysm and right coronary bypass. There were no clinical complications during the hospitalization and the patient has been discharged home after 7 days from the operation. Conclusion: Giant coronary artery aneurysm can be successfully managed with a surgical treatment, as supported by the scientific literature. An accurate diagnostic process is of primary importance for the differential diagnosis and for the definition of the ideal treatment strategy.

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Cite the Article:

Giuseppe N, Walter V, Tommaso L, Raffaele B, Dritan H, Giuseppe S. Giant Coronary Artery Aneurysm: A Case Report. Ann Clin Case Rep. 2023; 8: 2465..